| NPI | 1679084305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60801877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60801877) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-214565) | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2024-02-19 |